A mother brings her 2-year-old child to the pediatrician’s office, voicing concerns about her toddler’s growth over the last year. According to the child’s records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 inches (6.4 cm) since the child’s last visit a year ago. How should the nurse respond to this mother’s concerns?

Ask the mother if there are other small people in her family.

Tell her that her child’s growth is less than expected and gather a nutritional history on the child.

Tell the mother that she needs to return to the pediatrician’s office in 3 months to re-weigh the child and measure his height for any changes.

Inform the mother that her toddler’s growth is within normal limits and there is nothing to be worried about.

Answer and Explanation

The Correct Answer is D

Choice A reason: Asking about family size is irrelevant, as growth norms are based on population standards, not family stature. The toddler’s 6-pound gain and 2.5-inch growth are normal for a 2-year-old, making this unhelpful and incorrect compared to reassuring based on standard growth parameters for toddlers.

Choice B reason: The child’s growth (6 pounds, 2.5 inches) is within normal limits for a 2-year-old, so stating it is less than expected is inaccurate. Gathering nutritional history is unnecessary without growth concerns, making this incorrect compared to reassuring the mother about normal development in her child.

Choice C reason: Requiring a follow-up in 3 months is unnecessary, as the toddler’s growth is normal (6 pounds, 2.5 inches in a year). Reassuring the mother addresses her concerns directly, avoiding unwarranted visits, making this incorrect for responding to a toddler with standard growth patterns.

Choice D reason: A 6-pound (2.7 kg) weight gain and 2.5-inch (6.4 cm) height increase are within normal limits for a 2-year-old, per pediatric growth charts. Reassuring the mother alleviates anxiety and aligns with evidence-based growth standards, making this the correct response to her concerns about growth.

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Correct Answer is B

Explanation

Choice A reason: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.

Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.

Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.

Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.

A. Fluoride should not be used on a child’s teeth before 4 or 5 years of age. B. Swollen or inflamed gums during teething indicate a serious concern. C. The first tooth usually erupts by 6 months. D. The upper incisors are most often the first teeth to erupt.

Correct Answer is C

Explanation

Choice A reason: Fluoride is safe from 6 months in appropriate amounts, not delayed until 4-5 years. The first tooth’s eruption at 6 months is a key milestone, making this incorrect, as it misstates fluoride use in the context of infant dental development for the health fair.

Choice B reason: Swollen or inflamed gums are normal during teething, not a serious concern. The first tooth erupting at 6 months is a standard milestone, making this incorrect, as it misrepresents a common teething symptom as problematic in the nurse’s health fair presentation.

Choice C reason: The first tooth typically erupts by 6 months, marking the start of dental growth, a significant infant milestone. This aligns with pediatric dental guidelines, making it the correct fact for the nurse to highlight in the health fair presentation on infant developmental milestones.

Choice D reason: Lower central incisors, not upper, are usually the first to erupt in infants. The 6-month eruption timeline is accurate, making this incorrect, as it misidentifies the typical first teeth in the nurse’s presentation on infant dental development milestones at the health fair.

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Naxlex Comprehensive Predictor Exams

The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

Correct Answer is B

Explanation

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

Correct Answer is C

Explanation

The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

When evaluating a terminally ill client for pain relief following medication administration, which nursing assessments would be documented to support that the medication was effective? (Select all that apply)

The nurse is preparing to teach a class to a group of young parents with infants the basics of introducing solid foods into the diet. Which factor about the food should the nurse point out the infants respond to best when introducing solid foods into the diet?

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)